Individual provider Active NPI

Iesha Nowlin

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1255962114
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1050 E Flamingo Rd
Las Vegas, NV 89119-7427
Phone
(702) 779-4272
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1050 E Flamingo Rd
Las Vegas, NV 89119-7427

Mailing address

105 Masserta CT
Las Vegas, NV 89183-5585

Other practice location 1

2610 W Horizon Ridge Pkwy
Henderson, NV 89052-2869
Phone (702) 724-8844

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL OptumCare.com Direct Optum Care
CONNECT URL Givinghhc.com Giving Home Health Care LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255962114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MASSERTA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197427",
            "telephone_number": "702-779-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522869",
            "country_code": "US",
            "telephone_number": "702-724-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "IESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OptumCare.com",
            "affiliation": "Y",
            "endpointDescription": "Smartphone",
            "affiliationName": "Optum Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2610 W Horizon Ridge Pkwy",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890522869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Givinghhc.com",
            "affiliation": "Y",
            "affiliationName": "Giving Home Health Care LLC",
            "address_1": "1050 E Flamingo Rd Ste R-180",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891197427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.